REQUEST AND AUTHORIZATION FOR TDY TRAVEL OF DOD PERSONNEL (Sanitized)

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B05703A000200090018-6
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 9
• Document Creation Date: December 28, 2016
• Document Release Date: December 31, 2003
• Sequence Number: 18
• Publication Date: April 6, 1970
• Content Type: FORM

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REQUEST d~l?8rA A
DATE OF
}
R
EQUEST
(Reference: Joint Travel Regulations)
Travel Authorized as Indicated in Items 2 through 21.
6 A" 1974
REQUEST FOR OFFICIAL TRAVEL
2. NAME (Last, First, Middle Initial)
3. POSITION TITLE AND GRADE OR RATING
Deputy Director. G
CAPTAINs USN a 112325
4. OFFICIAL STATION
S. ORGANIZATIONAL ELEMENT
6. PHONE NO.
Washington, D. C.
~~.r
II
7. TYP O I E~S
8. SECURITY CLEARANCE
9. PURPOSE OF TOY ,, #~
ltt.ii In
ir O tokw
Temporary
~
l
cr' 3~iit " :t with SAC matters.
10a. APPROX NO. OF DAYS OF
b. PROCEED O/A (Date)
TOY (Including travel time)
21 ( type)
12 Apr 70
12. MODE OF TRANSPORTATION
COMMERCIAL
GOVERNMENT
PRIVATELY OWNED CONVEYANCE (Check one)
RAIL
AIR
BUS
SHIP
AIR
VEHICLE
SHIP
RATE PER MILE:
MORE ADVANTAGEOUS TO GOVERNMENT
AS DETERMINED BY APPROPRIATE TRANSPORTATION
OFFICER (Overseas Travel only)
MILEAGE REIMBURSEMENT AND PER DIEM LIMITED TO CON-
STRUCTIVE COST OF COMMON CARRIER TRANSPORTATION &
IJ R
T
ELA
ED PER DIEM AS DETERMINED IN JTR. TRAVEL TIME
LIMITED AS INDICATED IN JTR.
13. lI PER DIEM AUTHORIZED IN ACCORDANCE WITH JTR.
=OTHER RATE OF PER DIEM (Specify)
14. ESTIMATED COST
15. ADVANCE
AUTHORIZED
PER DIEM
TRAVEL
OTHER
TOT AL
$
$
$
$
$
16. REMARKS (Use this space for special requirements, leave, superior or 1st-class accommodations, excess baggage, registration fees, etc.)
NO FM IM L1 PM VIA. "
WeYr g of civilian clothes is authorized.
For ...
ls
aaircraft
.
tt rii
y~
.~
designated
material ~s may. period
courier
coiir ie for S ~ fo the
` fico cw is
~y,~y~:j #
and
Ise
of this t*rpwary duty.
C 1
A trip is not required 1wr VW 12-23.
17. REQUESTING OFFICIAL (Title and signature)
18
and signature)
fi
USA i
cm.
D M-
"JI AI$
. ,
,
,
AUTHORIZATION
19. ACCOUNTING CITATION
E Y `R
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20. ORDER AUTHORIZING OFFICIAL (Title and signature) OR AUTHENTICATION
_
21. DATE ISSUED
l r
22. TRAVEL ORDER NUMBER
D D I FORM
JUN 7 161
25
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Declass Review by NGA
 Approved For Release 200 [ IA-RDP781BO570I/ 0020009 018-6
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S E C R E T
END OF MESSAGF
Approved For Release 2004/02/11 : CIA-RDP78B05703A000200090018-6
 25X1
S E C C R E T 76164 12 AK
5X1 1. PER REF A OFFICE NOTIFIFP
2?" MARCH AS t ?'ATE" (Eft, TO DATE' OIALL V!10',j:-,
5X'GF NO E OMMUi~l I CT IO N "1 Hf t_ - CHANNELS AS I NI) T CAT'''
EY ITEM NO 6 OF REF A. !'c.FrAVE'J? IHISOte' OFFICE HAS NO
RECORD OF VISIT.
2. PER REF C R'ES~IRVA'TICNI Fl
HOTEL HAVE BEEN CA NCELLE .
_ 3, PER REF C 211APRIL HA`3 'BUN' CLEARED FOR
TRIP BY M ..O t, FINAL DISCUPS +')N AK) REVIEW TO MONDAY MORNII
5X'h7 APRIL. DOES NOT 4"~tYTHTtG FOR ?9 APRIL IN CASE:
YOU, 14ISH T ? .